Shaker Samih Qaqish, MD in North Little Rock, AR

Shaker Samih Qaqish, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in North Little Rock, Arkansas. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Preferred Vascular Services Northwest Llc and his current practice location is 11771 Maumelle Blvd, North Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 204-0302.

Shaker Samih Qaqish is licensed to practice in Arkansas (license number E-16018) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1184914723.

Contact Information

	Shaker Samih Qaqish, MD
	11771 Maumelle Blvd, North Little Rock, AR 72113
	(501) 204-0302
	(501) 573-4111

Map and Direction

Physician's Profile

Full Name	Shaker Samih Qaqish
Gender	Male
Speciality	Nephrology
Experience	16 Years
Location	11771 Maumelle Blvd, North Little Rock, Arkansas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shaker Samih Qaqish graduated from medical school in 2008

NPI Data:

NPI Number: 1184914723
Provider Enumeration Date: 04/16/2011
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3577781830
Enrollment ID: I20210719001158

Medical Identifiers

Medical identifiers for Shaker Samih Qaqish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184914723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	301234 (New York)	Secondary
207R00000X	Internal Medicine	4301114410 (Michigan)	Secondary
207R00000X	Internal Medicine	A126465 (California)	Secondary
207RN0300X	Internal Medicine - Nephrology	301234 (New York)	Secondary
207RN0300X	Internal Medicine - Nephrology	4301114410 (Michigan)	Secondary
207RN0300X	Internal Medicine - Nephrology	A126465 (California)	Secondary
208600000X	Surgery	301234 (New York)	Secondary
207RN0300X	Internal Medicine - Nephrology	E-16018 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Preferred Vascular Services Northwest Llc	1850552142	11

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shaker Samih Qaqish allows following entities to bill medicare on his behalf.

Entity Name	Preferred Vascular Services Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598037822 PECOS PAC ID: 1850552142 Enrollment ID: O20120413000013

Entity Name	Preferred Vascular Services Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861992976 PECOS PAC ID: 3577812312 Enrollment ID: O20180828000280

Entity Name	Preferred Vascular Services Southwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790285229 PECOS PAC ID: 0446502918 Enrollment ID: O20181010003246

Entity Name	Preferred Vascular Services Macon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437659455 PECOS PAC ID: 6406108984 Enrollment ID: O20181010003906

Entity Name	Preferred Vascular Services Northeast
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780184218 PECOS PAC ID: 3577815695 Enrollment ID: O20181017002434

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaker Samih Qaqish is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shaker Samih Qaqish, MD 11771 Maumelle Blvd, North Little Rock, AR 72113-6558 Ph: (501) 204-0302	Shaker Samih Qaqish, MD 11771 Maumelle Blvd, North Little Rock, AR 72113 Ph: (501) 204-0302

Reviews and Comments

Internal Medicine Doctors in North Little Rock, AR

Zafirah Salman, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3201 Springhill Dr Ste 350, North Little Rock, AR 72117 Phone: 501-945-0392 Fax: 501-945-0394
Dr. William Wesley Thorpe, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3333 Springhill Dr, North Little Rock, AR 72117 Phone: 501-283-6000
Charles R Caldwell Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3343 Springhill Dr, Suite 1035, North Little Rock, AR 72117 Phone: 501-975-7676
Dr. Peter Michael Marvin, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3333 Springhill Dr, Administration, North Little Rock, AR 72117 Phone: 501-202-6945 Fax: 501-202-3813
Dr. Jeffrey H Neuhauser, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3343 Springhill, Ste 1035 Arkansas Cardiology, North Little Rock, AR 72117 Phone: 501-975-7676 Fax: 501-975-0653
Dr. Thomas D Conley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3343 Springhill, St 1035, North Little Rock, AR 72117 Phone: 501-975-7676 Fax: 501-975-0653
Dr. Ira Baim Gershner, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 505 W Pershing Blvd, Suite C, North Little Rock, AR 72114 Phone: 501-758-1138 Fax: 501-751-5114

Shaker Samih Qaqish, MD - Medicare Nephrology in North Little Rock, AR